Our Methodology
Our Methodology
Clinical Guardian is both a methodology used in the routine audit of clinical consultations and the software to facilitate the process. In the 2-stage peer review process, the Stage 1- Individual Audit refers cases for deeper scrutiny to the Stage 2 - Group Review.
The key principle of Clinical Guardian is spotting issues early, so an appropriate response can be implemented before harm is caused.
Stage 1
Panning for Gold
The first stage involves an experienced Clinician reviewing a large number of cases rapidly to identify those which might need further evaluation. This process is undertaken by an individual clinical auditor and should take no longer than 30-90 seconds per case. The objective at this stage is to identify the small numbers of cases which might give rise to concern. Whilst most clinicians perform consistently to a very high clinical standard most of the time, rare problems encountered maybe either 'behavioural' , 'clinical' or 'service' related.
- Trained clinical auditors working alone
- Audit from anywhere
- Quickly review a large number of case records
- Pass or Refer for another opinion
- Provide comments to the Governance Team
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Stage 2
Processing the Gold
The weekly Group Review can immediately engage in the important cases that need their attention. A governance meeting requires a minimum of 3 auditors to be quorate. This is to avoid any negative feedback being sent from an individual. There is a group login screen which requires the usernames and passwords of two additional auditors before the session can begin, but the team do not need to be physically co-located.
- Early attention to concerns
- Build a rapport with Clinicians
- Give positive feedback
- Spot organisational issues
- Efficient remote working
- Adjust risk profiles